Sharma et al used echocardiography and clinical findings to evaluate a patient prior to renal transplantation. This can help identify a patient who may benefit from more aggressive management. The authors are from St. George's Hospital, the Heart Hospital (London), and Southampton Hospital in England.
Parameters:
(1) age of the patient in years
(2) end-systolic diameter of the left ventricle (LVESD) in cm
(3) maximal left ventricular wall thickness in cm
(4) mitral annular calcification
|
Parameter |
Finding |
Points |
|
age of the patient in years |
< 50 years of age |
0 |
|
|
>= 50 years of age |
1 |
|
LVESD in cm |
< 3.5 cm |
0 |
|
|
>= 3.5 cm |
1 |
|
maximal left ventricular wall thickness in cm |
< 1.4 cm |
0 |
|
|
>= 1.4 cm |
1 |
|
mitral annular calcification |
absent |
0 |
|
|
present |
1 |
risk score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4 (maximum seen in study was 3)
• The higher the risk score the less the 5 year survival.
|
Risk Score |
5-Year Survival |
|
0 |
96% |
|
1 |
86% |
|
2 |
69% |
|
3 |
38% |
|
4 |
< 38% |
For a patient >= 50 year of age
|
Risk Score (not including age) |
5-Year Survival |
|
0 |
73% |
|
1 |
45% |
|
2 |
18% |
|
3 |
< 18% |
Specialty: Cardiology, General Surgery
ICD-10: ,
